HCRIS X-Ray — USA HEALTH UNIVERSITY HOSPITAL
CCN 010087 · 242 beds · FY2022
🛡️ Public data only — no PHI permitted on this instance.
HCRIS-Native Peer X-Ray
USA HEALTH UNIVERSITY HOSPITAL
17 peers · same-state + same-year · 17 pool, top 17 shown · benchmarked on 15 metrics
CCN 010087 · FY2022 · MOBILE, AL
USA HEALTH UNIVERSITY HOSPITALTREND · DETERIORATING · 3Y
Beds
242
Community
Patient Days
84,597
95.6% occupancy
Medicare Day Share
14.8%
moderate
NPR (filed)
$348.5M
$1,440K / bed
Operating Margin
-6.4%
Negative
Payer Diversity
0.55
1 − HHI of day mix
Plain-English read: Biggest peer gap: Opex per bed is 1,531,774 $ vs peer median 895,851 $ (+71.0%, above peer P75). Strongest outperformance: Net-to-gross ratio at 35.9% vs median 18.4% (+94.8%).
Peer benchmark · target vs P25 / median / P75 · same-state + same-year · 17 pool, top 17 shown
Size
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Beds
licensed bed count
242
204
219
261
+10.5%
IN-BAND
Patient days
total inpatient days filed
84,597
35,493
55,816
60,066
+51.6%
ABOVE PEER
Occupancy rate
patient days ÷ bed days available
95.6%
50.0%
65.3%
76.1%
+46.4%
ABOVE PEER
Payer Mix
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Medicare day share
share of inpatient days covered by Medicare
14.8%
20.3%
21.6%
27.2%
-31.6%
ABOVE PEER
Medicaid day share
share of inpatient days covered by Medicaid
24.6%
12.1%
17.4%
22.5%
+41.2%
BELOW PEER
Commercial / other day share
commercial + self-pay day share (higher = better economics)
60.7%
55.9%
59.2%
65.4%
+2.6%
IN-BAND
Payer diversity
1 − HHI of day mix; 0 = single-payer, 0.67 = balanced across 3
0.55
0.50
0.55
0.58
-0.8%
IN-BAND
Revenue Cycle
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
NPR per bed
net patient revenue ÷ beds
1,440,006 $
709,723 $
828,690 $
1,084,295 $
+73.8%
ABOVE PEER
NPR per patient day
net patient revenue ÷ total patient days
4,119 $
3,449 $
3,875 $
4,159 $
+6.3%
IN-BAND
Contractual allowance rate
contractual allowances ÷ gross patient revenue
64.1%
73.4%
81.6%
89.6%
-21.4%
ABOVE PEER
Net-to-gross ratio
NPR ÷ gross patient revenue (collection-rate proxy)
35.9%
10.4%
18.4%
26.6%
+94.8%
ABOVE PEER
Cost Structure
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Opex per bed
operating expenses ÷ beds
1,531,774 $
778,870 $
895,851 $
1,116,320 $
+71.0%
BELOW PEER
Opex per patient day
operating expenses ÷ total patient days
4,382 $
3,786 $
3,907 $
4,412 $
+12.1%
IN-BAND
Margin
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Operating margin
(NPR − opex) ÷ NPR
-6.4%
-10.4%
-3.8%
0.5%
-69.2%
IN-BAND
Net income margin
net income ÷ NPR
-6.4%
-10.4%
-3.8%
0.5%
-69.2%
IN-BAND
How to read: Target column is the filed value from the hospital's most recent Medicare cost report. P25 / median / P75 are drawn from the 17 peer hospitals matched on size cohort, state, payer mix, and fiscal year. Variance is signed % vs peer median; green chip = better than peers on this metric; red chip = worse than peers; amber/neutral = inside the P25-P75 band.
Public market context · Seeking Alpha hospital comps
Target operating margin -6.4% trails public-comp median +14.2% by 20.6 pp. Public comps trade at a median EV/EBITDA of ~9x; target-implied multiple should adjust for the margin delta + size discount.
| Ticker | Company | Op Margin | Target Δ | EV/EBITDA |
|---|---|---|---|---|
| HCA | HCA Healthcare | +16.9% | -23.3pp | 8.9× |
| THC | Tenet Healthcare | +14.2% | -20.6pp | 8.8× |
| UHS | Universal Health Services | +11.5% | -17.9pp | 7.4× |
| ARDT | Ardent Health Partners | +7.8% | -14.2pp | 10.2× |
Public-hospital comps are curated from 10-K / analyst consensus via → Seeking Alpha Market Intel. Margin delta × $ of NPR ≈ the EBITDA gap between the target and the public bench.
Peer roster
| CCN | Hospital | State | Beds | FY | Medicare % | Op Margin | NPR ($M) | Distance | Same-state | Same-region |
|---|---|---|---|---|---|---|---|---|---|---|
| 010149 | BAPTIST MEDICAL CENTER EAST | AL | 208 | 2022 | 12.6% | -9.9% | 169.5 | 0.679 | ✓ | ✓ |
| 010103 | PRINCETON BAPTIST MEDICAL CENTER | AL | 261 | 2022 | 17.2% | +2.3% | 216.3 | 0.727 | ✓ | ✓ |
| 010040 | GADSDEN REGIONAL MEDICAL CENTER | AL | 219 | 2022 | 22.7% | +2.3% | 174.6 | 0.804 | ✓ | ✓ |
| 010006 | NORTH ALABAMA MEDICAL CENTER | AL | 223 | 2022 | 30.9% | +0.5% | 259.5 | 0.813 | ✓ | ✓ |
| 010024 | JACKSON HOSPITAL AND CLINIC INC | AL | 278 | 2022 | 20.4% | -10.4% | 301.4 | 0.877 | ✓ | ✓ |
| 010011 | ST. VINCENTS EAST | AL | 286 | 2022 | 20.3% | -20.2% | 249.1 | 0.977 | ✓ | ✓ |
| 010029 | EAST ALABAMA MEDICAL CENTER | AL | 297 | 2022 | 21.6% | -6.5% | 399.6 | 1.080 | ✓ | ✓ |
| 010114 | UAB MEDICAL WEST | AL | 204 | 2022 | 17.7% | -12.5% | 142.7 | 1.108 | ✓ | ✓ |
| 010016 | SHELBY BAPTIST MEDICAL CENTER | AL | 212 | 2022 | 22.7% | -0.9% | 161.1 | 1.125 | ✓ | ✓ |
| 010055 | FLOWERS HOSPITAL | AL | 193 | 2022 | 27.2% | +14.2% | 235.5 | 1.133 | ✓ | ✓ |
| 013301 | USA CHILDRENS AND WOMENS HOSPITAL | AL | 249 | 2022 | 0.2% | -0.3% | 228.8 | 1.189 | ✓ | ✓ |
| 010144 | SPRINGHILL MEMORIAL HOSPITAL | AL | 179 | 2022 | 20.6% | -3.8% | 216.2 | 1.223 | ✓ | ✓ |
| 010046 | RIVERVIEW REGIONAL MEDICAL CENTER | AL | 256 | 2022 | 27.9% | -3.6% | 101.5 | 1.229 | ✓ | ✓ |
| 010089 | WALKER BAPTIST MEDICAL CENTER | AL | 207 | 2022 | 21.1% | +18.2% | 108.7 | 1.253 | ✓ | ✓ |
| 010078 | NORTHEAST ALABAMA REGIONAL MED CTR | AL | 295 | 2022 | 27.5% | -11.8% | 209.4 | 1.316 | ✓ | ✓ |
| 010005 | MARSHALL MEDICAL CENTERS SOUTH | AL | 178 | 2022 | 26.1% | -6.3% | 186.9 | 1.438 | ✓ | ✓ |
| 010019 | HELEN KELLER HOSPITAL | AL | 178 | 2022 | 30.3% | -28.0% | 92.0 | 1.646 | ✓ | ✓ |
Cross-reference · pre-seeded with HCRIS-filed NPR, operating margin + peer-median 9.0× entry cap structure
EV
$157M (9.0× $17.4M EBITDA) · Equity $66M · Debt $91M · override any of these on the destination page.JSON export — full X-Ray payload
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